Approaches and challenges to optimising primary care teams' electronic health record usage

Nancy Pandhi, Wan Lin Yang, Zaher Karp, Alexander Young, John W. Beasley, Sally Kraft, Pascale Carayon

研究成果: Review article

8 引文 (Scopus)

摘要

Background: Although the presence of an electronic health record (EHR) alone does not ensure high quality, efficient care, few studies have focused on the work of those charged with optimising use of existing EHR functionality. Objective: To examine the approaches used and challenges perceived by analysts supporting the optimisation of primary care teams' EHR use at a large U.S. academic health care system. Methods: A qualitative study was conducted. Optimisation analysts and their supervisor were interviewed and data were analysed for themes. Results: Analysts needed to reconcile the tension created by organisational mandates focused on the standardisation of EHR processes with the primary care teams' demand for EHR customisation. They gained an understanding of health information technology (HIT) leadership's and primary care team's goals through attending meetings, reading meeting minutes and visiting with clinical teams. Within what was organisationally possible, EHR education could then be tailored to fit team needs. Major challenges were related to organisational attempts to standardise EHR use despite varied clinic contexts, personnel readiness and technical issues with the EHR platform. Forcing standardisation upon clinical needs that current EHR functionality could not satisfy was difficult. Conclusions: Dedicated optimisation analysts can add value to health systems through playing a mediating role between HIT leadership and care teams. Our findings imply that EHR optimisation should be performed with an in-depth understanding of the workflow, cognitive and interactional activities in primary care.

原文English
頁(從 - 到)142-151
頁數10
期刊Informatics in Primary Care
21
發行號3
DOIs
出版狀態Published - 2014

指紋

Electronic Health Records
Primary Health Care
Health
Medical Informatics
Standardization
Information technology
Workflow
Quality of Health Care
Health Education
Reading
Supervisory personnel
Health care
Delivery of Health Care
Education

All Science Journal Classification (ASJC) codes

  • Leadership and Management
  • Health Informatics
  • Family Practice

引用此文

Pandhi, Nancy ; Yang, Wan Lin ; Karp, Zaher ; Young, Alexander ; Beasley, John W. ; Kraft, Sally ; Carayon, Pascale. / Approaches and challenges to optimising primary care teams' electronic health record usage. 於: Informatics in Primary Care. 2014 ; 卷 21, 編號 3. 頁 142-151.
@article{2ec16e364e844032ae96f9f083725cbf,
title = "Approaches and challenges to optimising primary care teams' electronic health record usage",
abstract = "Background: Although the presence of an electronic health record (EHR) alone does not ensure high quality, efficient care, few studies have focused on the work of those charged with optimising use of existing EHR functionality. Objective: To examine the approaches used and challenges perceived by analysts supporting the optimisation of primary care teams' EHR use at a large U.S. academic health care system. Methods: A qualitative study was conducted. Optimisation analysts and their supervisor were interviewed and data were analysed for themes. Results: Analysts needed to reconcile the tension created by organisational mandates focused on the standardisation of EHR processes with the primary care teams' demand for EHR customisation. They gained an understanding of health information technology (HIT) leadership's and primary care team's goals through attending meetings, reading meeting minutes and visiting with clinical teams. Within what was organisationally possible, EHR education could then be tailored to fit team needs. Major challenges were related to organisational attempts to standardise EHR use despite varied clinic contexts, personnel readiness and technical issues with the EHR platform. Forcing standardisation upon clinical needs that current EHR functionality could not satisfy was difficult. Conclusions: Dedicated optimisation analysts can add value to health systems through playing a mediating role between HIT leadership and care teams. Our findings imply that EHR optimisation should be performed with an in-depth understanding of the workflow, cognitive and interactional activities in primary care.",
author = "Nancy Pandhi and Yang, {Wan Lin} and Zaher Karp and Alexander Young and Beasley, {John W.} and Sally Kraft and Pascale Carayon",
year = "2014",
doi = "10.14236/jhi.v21i3.57",
language = "English",
volume = "21",
pages = "142--151",
journal = "BMJ Health and Care Informatics",
issn = "2058-4555",
publisher = "BMJ Publishing Group",
number = "3",

}

Approaches and challenges to optimising primary care teams' electronic health record usage. / Pandhi, Nancy; Yang, Wan Lin; Karp, Zaher; Young, Alexander; Beasley, John W.; Kraft, Sally; Carayon, Pascale.

於: Informatics in Primary Care, 卷 21, 編號 3, 2014, p. 142-151.

研究成果: Review article

TY - JOUR

T1 - Approaches and challenges to optimising primary care teams' electronic health record usage

AU - Pandhi, Nancy

AU - Yang, Wan Lin

AU - Karp, Zaher

AU - Young, Alexander

AU - Beasley, John W.

AU - Kraft, Sally

AU - Carayon, Pascale

PY - 2014

Y1 - 2014

N2 - Background: Although the presence of an electronic health record (EHR) alone does not ensure high quality, efficient care, few studies have focused on the work of those charged with optimising use of existing EHR functionality. Objective: To examine the approaches used and challenges perceived by analysts supporting the optimisation of primary care teams' EHR use at a large U.S. academic health care system. Methods: A qualitative study was conducted. Optimisation analysts and their supervisor were interviewed and data were analysed for themes. Results: Analysts needed to reconcile the tension created by organisational mandates focused on the standardisation of EHR processes with the primary care teams' demand for EHR customisation. They gained an understanding of health information technology (HIT) leadership's and primary care team's goals through attending meetings, reading meeting minutes and visiting with clinical teams. Within what was organisationally possible, EHR education could then be tailored to fit team needs. Major challenges were related to organisational attempts to standardise EHR use despite varied clinic contexts, personnel readiness and technical issues with the EHR platform. Forcing standardisation upon clinical needs that current EHR functionality could not satisfy was difficult. Conclusions: Dedicated optimisation analysts can add value to health systems through playing a mediating role between HIT leadership and care teams. Our findings imply that EHR optimisation should be performed with an in-depth understanding of the workflow, cognitive and interactional activities in primary care.

AB - Background: Although the presence of an electronic health record (EHR) alone does not ensure high quality, efficient care, few studies have focused on the work of those charged with optimising use of existing EHR functionality. Objective: To examine the approaches used and challenges perceived by analysts supporting the optimisation of primary care teams' EHR use at a large U.S. academic health care system. Methods: A qualitative study was conducted. Optimisation analysts and their supervisor were interviewed and data were analysed for themes. Results: Analysts needed to reconcile the tension created by organisational mandates focused on the standardisation of EHR processes with the primary care teams' demand for EHR customisation. They gained an understanding of health information technology (HIT) leadership's and primary care team's goals through attending meetings, reading meeting minutes and visiting with clinical teams. Within what was organisationally possible, EHR education could then be tailored to fit team needs. Major challenges were related to organisational attempts to standardise EHR use despite varied clinic contexts, personnel readiness and technical issues with the EHR platform. Forcing standardisation upon clinical needs that current EHR functionality could not satisfy was difficult. Conclusions: Dedicated optimisation analysts can add value to health systems through playing a mediating role between HIT leadership and care teams. Our findings imply that EHR optimisation should be performed with an in-depth understanding of the workflow, cognitive and interactional activities in primary care.

UR - http://www.scopus.com/inward/record.url?scp=84905868328&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84905868328&partnerID=8YFLogxK

U2 - 10.14236/jhi.v21i3.57

DO - 10.14236/jhi.v21i3.57

M3 - Review article

C2 - 25207618

AN - SCOPUS:84905868328

VL - 21

SP - 142

EP - 151

JO - BMJ Health and Care Informatics

JF - BMJ Health and Care Informatics

SN - 2058-4555

IS - 3

ER -